Parents’ Self-Reported Versus Child Evaluation of Parents’ Mental Health Outcomes: Is There a Difference

Abstract Older Chinese-Americans are more likely to experience depressive symptoms compared to the general U.S. aging population. This paper aims to examine the level of congruence between parents’ self-reported mental health and children’s evaluation of their parents’ mental health. Dyad-level understanding is particularly relevant considering the family-based medical decision-making preference in the Chinese-community. Older parents’ depressive symptoms were measured by PHQ-9 with a cutoff of 5 indicating the presence of depressive symptoms. Adult children were asked whether their parents informed them of their depressive symptoms or if they suspected that their parents were depressed. Logistic regressions were conducted. Parents’ self-reported depressive symptoms were associated with both adult children’s awareness (OR:3.28 (2.00-5.39)) and suspicion (OR:3.10 (2.02-4.77)) of their parents’ depressive symptoms. Results remained consistent among mother-child and father-child dyads. Study findings underscore the importance of incorporating adult children’s’ perspective in mental health research in the Chinese community.


DYADIC DATA ON U.S. CHINESE OLDER ADULTS AND THEIR ADULT CHILDREN: STUDY DESIGN AND SAMPLE OVERVIEW
XinQi Dong, 1 and Dexia Kong, 2 , 1. Rutgers University, Rutgers Institute for Health,New Jersey,United States,2. Rutgers University,New Brunswick,New Jersey,United States This paper aims to describe study design of the unique dyadic older Chinese American-adult children dataset, and present sample characteristics of the dyads. A total of 807 older parents were matched with their adult children (characteristics of matched versus not matched participants will be compared). On average, adult children were 48 years old, had 12 years of education, lived with 3 persons in household, had 2 children, and lived in U.S. for 17 years. Approximately 65% of the adult children sample were female, 82% married, 93% preferred to speak Chinese dialects, and over 97% foreign-born immigrants. On the other hand, older parents were 74 years old, had 7 years of education, lived with 3 persons in household, had 3 children, and lived in U.S. for 17 years on average. About 60% of the older parent sample were female, 73% married, over 99% foreign-born immigrants who preferred to speak Chinese dialects.

CHILDREN'S FILIAL PIETY AND PARENTS' DEPRESSIVE SYMPTOMS: FINDINGS FROM A DYADIC STUDY
Qun Le, 1 XinQi Dong, 2 and Stephanie Bergren, 1 1. Rutgers University,New Brunswick,New Jersey,United States,2. Rutgers University,Rutgers Institute for Health,New Jersey,United States Filial piety is an important Chinese cultural value that prescribes child behavior towards their parents, but little is known about its relationship to the parents' psychological wellbeing. This study utilizes dyad data from the PINE and PIETY Studies. Filial piety was measured by asking how much the participant thought children should 1) care; 2) respect; 3) greet; 4) please and make happy; 5) obey; and 6) provide financial support to their parents. Depressive symptoms were measured by Patient Health Questionaire-9 with a cutoff of 5 indicating the presence of depressive symptoms. Logistic regressions were used to examine the associations controlling for both children's and parents' sociodemographic characteristics. Higher filial piety in happy (OR:0.80, (0.65-0.99)) or obey (OR:0.83, (0.68-1.00)) was associated with a lower likelihood of depressive symptoms among parents. Future research should explore the potential causal relationships between children's filial piety and parents' mental health. Older Chinese-Americans are more likely to experience depressive symptoms compared to the general U.S. aging population. This paper aims to examine the level of congruence between parents' self-reported mental health and children's evaluation of their parents' mental health. Dyadlevel understanding is particularly relevant considering the family-based medical decision-making preference in the Chinese-community. Older parents' depressive symptoms were measured by PHQ-9 with a cutoff of 5 indicating the presence of depressive symptoms. Adult children were asked whether their parents informed them of their depressive symptoms or if they suspected that their parents were depressed. Logistic regressions were conducted. Parents' selfreported depressive symptoms were associated with both adult children's awareness (OR:3.28 (2.00-5.39)) and suspicion (OR:3.10 (2.02-4.77)) of their parents' depressive symptoms. Results remained consistent among mother-child and father-child dyads. Study findings underscore the importance of incorporating adult children's' perspective in mental health research in the Chinese community. Earlier caregiving research focused on psychological well-being of either caregivers or care recipients, while less is known about the caregiving pattern with optimal outcome for both caregivers and care recipients. Data were from the PINE and PIETY studies, with 804 parent-child dyads. Depressive symptoms were measured by PHQ-9 with a cutoff of 5 distinguishing happy or depressed. Parent-child dyads were divided into four groups: happy-parent-happychild (HPHC, n=572, 71.1%), depressed-parent-happychild (DPHC, n=139, 17.3%), happy-parent-depressed-child (HPDC, n=65, 8.1%), and depressed-parent-depressed-child (DPDC, n=28, 3.5%). Multinomial logistic regression was used to compare the sociodemographic differences among the groups. Compared to the HPHC group, the DPHC group had older parents, more mother-child dyads and lowerincome children, the HPDC group had more female children. However, there was no significant difference between the HPHC and the DPDC group. Future research could explore the predictors of parent-child well-being to inform intervention strategies.

THE ASSOCIATION BETWEEN PARENTS' PHYSICAL FUNCTION AND ADULT CHILDREN'S CAREGIVING BURDEN
Dexia Kong, 1 XinQi Dong, 2 and Qun Le, 1 , 1. Rutgers University,New Brunswick,New Jersey,United States,2

. Rutgers University, Rutgers Institute for Health, New Jersey, United States
Using data from 544 older parents-adult children Chinese American dyads, this study aims to understand the association between older parents' physical function and their adult children's perceived caregiving burden. Parents' physical function was assessed by the Katz Index of Activities of Daily Living (ADL) and the Lawton Instrumental ADL (IADL), with higher scores indicating more functional limitations. Adult children's caregiving burden was assessed in five dimensions, including time dependence, developmental, physical, social, and emotion burden. Logistic regression was used to examine the association. More ADL limitations were associated with a higher likelihood of developmental burden (OR:1.14 (1.06-1.23)) and physical burden (OR:1.14 (1.06-1.23)) burden. More IADL limitations was associated with a higher likelihood of time dependence burden (OR:1.08 (1.03-1.12)), developmental burden (OR:1.06 (1.03-1.09)), and physical burden (OR:1.08 (1.04-1.12)). Parents' physical function was not related to children's social and emotional burdens. Practice and research implications will be discussed.

MAJOR DISASTERS' IMPACTS ON LONG-TERM CARE SETTINGS, VULNERABLE OLDER ADULTS, AND CARE PROVIDERS Chair: Leah Haverhals Co-Chair: Katie Cherry
The COVID-19 pandemic has disproportionately negatively affected older adults, and has specifically devasted older adults who are minorities and those who reside in long-term care (LTC) facilities. For professionals working in LTC facilities, major stressors and challenges due to the pandemic must be navigated, sometimes in parallel with the effect that major disasters like hurricanes can have on LTC facilities. This symposium will focus on the impact major disasters, including the COVID-19 pandemic and Hurricane Irma, had on LTC settings and those who live and work there, as well as older adults who are minorities and their communities. First, Dr. Roma Hanks will present findings from a study of community members and leaders in a majority African-American community in the United States (US) about their experiences with and challenges faced related to the pandemic. Second, Dr. Lisa Brown will share experiences and perceptions of mental health clinicians from across the US who worked in LTC settings before and during the pandemic. Third, Dr. Ella Cohn-Schwartz will describe how the pandemic impacted Holocaust survivors ages 75+ in Israel compared to older adults who did not experience the Holocaust. Fourth, Dr. Lindsay Peterson will present findings from interviews with nursing home and assisted living community representatives in the US regarding vulnerabilities LTC facilities experienced related to Hurricane Irma in 2017. As a whole, these presenters will provide insights into experiences of older adults, care providers, LTC facilities, and communities as they navigated challenges associated with the COVID-19 pandemic and a major hurricane. Older adults of color who experience health disparities are especially vulnerable to health and economic adversity related to COVID-19. This study focuses on nine zip codes wherein 70.2% of residents are of African-American descent and an estimated 31.5% of residents live in poverty. To understand the lived experience of the COVID-19 pandemic, perceived challenges of COVID-19, and the dissemination of information related to COVID-19, we collected interview and focus group data in Spring 2020 from fifteen community members, leaders, or advocates. Analyses reveal that older individuals approach